Community Acquired Urinary Tract Infections and Antimicrobial Susceptibility Patterns of Isolated Uropathogens in Malwa Region of Punjab

Abstract

Background- Community acquired urinary tract infection (CA-UTI) is the second most common infection in the community. The etiology and antimicrobial susceptibility of the uropathogen vary widely with time and space. Although its forms the basis of the empirical of CA-UTI yet it has not been showed extensively in India. Methods- The study was conducted for 6 months. Urine samples of clinically suspected UTI patients attending OPD were collected and direct microscopy and cultures were done. Antimicrobial susceptibility was performed on the all bacteria by Kirby Bauer's disk diffusion method. Results- CA-UTI prevalence was 60.5% in patients. However, the prevalence was signicance in the female patients than male (females 66.1% and males 33.9%). Prevalence of gram negative bacteria (91%) over the gram positive bacteria (9%) only causes the CA-UTI. The majority of infections were due to Escherichia coli (63.2%). Most of the uropathogen are resistance to the ampicillin and cephalosporin and least infection to colistin/ polymyxin-B. In the gram positive bacteria they are suspectible to vancomycin and linezolid. Conclusion- The empirical therapy to treat CA-UTI should be chosen from amongst the antimicrobial agents who show sensitivity to these uropathogens after culture and sensitivity.